Samuel Jason Clark, PHYSICIAN ASSISTANT
NPI 1285983247ActiveIndividual· Physician Assistant· Beaufort, SC
Physician Assistant (PHYSICIAN ASSISTANT) in Beaufort, South Carolina, licensed in SC and NC, with an NPI issued in September 2012.
Overview
| NPI | 1285983247 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHYSICIAN ASSISTANT |
| Sole proprietor | Yes |
| NPI issued | Sep 6, 2012 |
| Last updated in NPPES | Dec 4, 2025 |
| Certified by provider | Dec 4, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 5174 | SC |
| Physician Assistant | 363A00000X | 0010-11081 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other physician assistants in Beaufort
- 1033782784
- 1063159218
- 1134108400
- 1336300078
- 1356957930
- 1578950960
- 1659950491
- 1689077885
- 1740682590
- 1790004356
- 1942699723
- 1942787866
All 38 physician assistants in Beaufort · All physician assistants in South Carolina